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Davis, John M.
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Davis, John M.
British Journal of Psychiatry
Do antipsychotic drugs lose their efficacy for relapse prevention over time?
Psychiatry and Mental health
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spelling Leucht, Stefan Davis, John M. 0007-1250 1472-1465 Royal College of Psychiatrists Psychiatry and Mental health http://dx.doi.org/10.1192/bjp.bp.117.201103 <jats:title>Summary</jats:title><jats:p>There is a debate about long-term treatment of schizophrenia with antipsychotic drugs, with some experts suggesting that these drugs should be discontinued. In this issue, Takeuchi <jats:italic>et al</jats:italic> demonstrated by a meta-analysis of 11 trials that antipsychotic drugs maintained their efficacy for relapse prevention for 1 year, whereas patients on placebo kept getting worse. We consider these findings in the light of the current discussion about possible dose-related brain volume loss, supersensitivity psychosis, the high variability of results in long-term follow-up studies and recent approaches to discontinue antipsychotics in patients with a first-episode. The new findings speak in favour of continuing antipsychotics at the same dose, at least in patients whose condition is chronic, but the topic is complex.</jats:p> Do antipsychotic drugs lose their efficacy for relapse prevention over time? British Journal of Psychiatry
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title Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_unstemmed Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_full Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_fullStr Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_full_unstemmed Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_short Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_sort do antipsychotic drugs lose their efficacy for relapse prevention over time?
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spelling Leucht, Stefan Davis, John M. 0007-1250 1472-1465 Royal College of Psychiatrists Psychiatry and Mental health http://dx.doi.org/10.1192/bjp.bp.117.201103 <jats:title>Summary</jats:title><jats:p>There is a debate about long-term treatment of schizophrenia with antipsychotic drugs, with some experts suggesting that these drugs should be discontinued. In this issue, Takeuchi <jats:italic>et al</jats:italic> demonstrated by a meta-analysis of 11 trials that antipsychotic drugs maintained their efficacy for relapse prevention for 1 year, whereas patients on placebo kept getting worse. We consider these findings in the light of the current discussion about possible dose-related brain volume loss, supersensitivity psychosis, the high variability of results in long-term follow-up studies and recent approaches to discontinue antipsychotics in patients with a first-episode. The new findings speak in favour of continuing antipsychotics at the same dose, at least in patients whose condition is chronic, but the topic is complex.</jats:p> Do antipsychotic drugs lose their efficacy for relapse prevention over time? British Journal of Psychiatry
spellingShingle Leucht, Stefan, Davis, John M., British Journal of Psychiatry, Do antipsychotic drugs lose their efficacy for relapse prevention over time?, Psychiatry and Mental health
title Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_full Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_fullStr Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_full_unstemmed Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_short Do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_sort do antipsychotic drugs lose their efficacy for relapse prevention over time?
title_unstemmed Do antipsychotic drugs lose their efficacy for relapse prevention over time?
topic Psychiatry and Mental health
url http://dx.doi.org/10.1192/bjp.bp.117.201103